Health Concern DAM Questions

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Health Concern DAM Questions

Settled

1. Is the indication of a Care Plan a Health Concern or a Condition?
   1. Concern. If a condition is of sufficient concern to merit a plan, it's a concern.
2. When specifying a concern, are we simply classifying a condition, or are we creating a new object?
   1. We are specifying a new object. Especially because the relationship could be 1:n between concerns and conditions.
3. Are diagnosing as a condition, classifying as a concern, and assigning a (initially empty) plan each distinct actions to be taken by the caregiver?
   1. Yes. It could even be different roles and responsibilities, especially if there are multidisciplinary teams involved. In my example of Obesity the pain in the knee could diagnosed by the physiotherapist , but the overall Care plan is coordinated by a general practitioner.
4. Assume that observations are associated with encounters; associations with concerns, conditions, or plans are secondary
   1. Yes
5. Does "intervention" belong in the Health Concern domain?
   1. Yes. There is a consideration of overlap with Care Plan, but [not sure I followed the rationale for this].

Not Settled

1. What is the cardinality of the association between Condition and HealthConcern?
   1. A condition may serve as the focus of a concern, or it may not. 0:1 on this end.
   2. A concern should have a single focal concern, but it may have other related concerns. How do we define the relationship--as cause?
2. What are the relationships allowed between related HealthConcerns?
3. Do HealthConcern properties differ from their "CurrentName" condition properties (start date, end date, prognosis, chronicity, status)?